N201 OB: PREGNANCY, LABOR, CHILDBIRTH,
POSTPARTUM- UNCOMPLICATED EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS GRADED
A++ LATEST UPDATE
A client whose weight was average for her height before becoming pregnant is
concerned because she has gained 15 lb (6.8 kg) after only 23 weeks of
pregnancy. What is the nurse's most appropriate response?
"Your weight is expected for someone at 23 weeks' gestation. Continue your current
diet."
[pt.s should gain 2.2-5.5 lbs during first 12 weeks then 1 pound each week]
Which information should the nurse include in the discharge teaching of a
postpartum client?
The prenatal Kegel tightening exercises should be continued
The postpartum nurse is delegating tasks to an unlicensed health care worker.
Which task should the nurse delegate?
Vital signs on a client 4 hours after delivery
A primigravid client who is at 38 weeks' gestation is undergoing a nonstress test.
The nurse determines that the baseline fetal heart rate is 130 to 140 beats per
minute. It rises to 160 on two occasions and 157 once during a 20-minute period.
,Each of the episodes in which the heart rate is increased lasts 20 seconds. Which
action should the nurse take?
Discontinuing the test because the pattern is within the normal range
A client is scheduled for a nonstress test in the 37th week of gestation. The nurse
explains the procedure. Which statement demonstrates that the client
understands the teaching?
"If the heart reacts well, my baby should do OK when I give birth."
A client who expected to use the Lamaze technique throughout labor has an
emergency cesarean birth. Two days later the client is found crying and tells the
nurse that she is extremely disappointed because a cesarean birth was
necessary. She asks the nurse why this happened to her. The nurse answers
based upon which physiologic response?
An emergency cesarean birth is traumatic psychologically because of the loss of the
expected birth experience
Which statement made by a pregnant client to a nurse indicates that the client
does not understand the teaching regarding fetal growth and development?
"The baby gets food from the amniotic fluid."
While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies
an increase of 15 beats more than the baseline rate of 135 beats per minute that
lasts 15 seconds. How should the nurse document this event?
An acceleration
A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic for the
first time. After the physical examination she tells the nurse, "I can't believe how
, big I am. Will I get much bigger?" What information about adolescent growth and
development does the nurse need to understand before responding?
Body image is very important to adolescents; therefore pregnant teenagers are overly
concerned about body size
The nurse instructs a pregnant client regarding fetal growth and development.
Which statement indicates that the client requires further teaching?
"The fetus gets nutrients from the amniotic fluid."
[no nutrient from the amniotic fluid its just for protection]
The husband of a client who is in the transition phase of the first stage of labor
becomes very tense and anxious and asks a nurse, "Would it be best for me to
leave, since I don't seem to be doing my wife much good?" What is the
appropriate response by the nurse?"
"I know that this is hard for you. Let me try to help you coach her during this difficult
phase."
When palpating a client's fundus on the second postpartum day, the nurse
determines that it is above the umbilicus and displaced to the right. What does
the nurse conclude?
The bladder has become overdistended
When a client at 39 weeks' gestation arrives at the birthing suite she says, "I've
been having contractions for 3 hours, and I think my water broke." What will the
nurse's action be to confirm that the membranes have ruptured?
Test the leaking fluid with Nitrazine paper
[turns blue if amniotic fluid is present]
POSTPARTUM- UNCOMPLICATED EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS GRADED
A++ LATEST UPDATE
A client whose weight was average for her height before becoming pregnant is
concerned because she has gained 15 lb (6.8 kg) after only 23 weeks of
pregnancy. What is the nurse's most appropriate response?
"Your weight is expected for someone at 23 weeks' gestation. Continue your current
diet."
[pt.s should gain 2.2-5.5 lbs during first 12 weeks then 1 pound each week]
Which information should the nurse include in the discharge teaching of a
postpartum client?
The prenatal Kegel tightening exercises should be continued
The postpartum nurse is delegating tasks to an unlicensed health care worker.
Which task should the nurse delegate?
Vital signs on a client 4 hours after delivery
A primigravid client who is at 38 weeks' gestation is undergoing a nonstress test.
The nurse determines that the baseline fetal heart rate is 130 to 140 beats per
minute. It rises to 160 on two occasions and 157 once during a 20-minute period.
,Each of the episodes in which the heart rate is increased lasts 20 seconds. Which
action should the nurse take?
Discontinuing the test because the pattern is within the normal range
A client is scheduled for a nonstress test in the 37th week of gestation. The nurse
explains the procedure. Which statement demonstrates that the client
understands the teaching?
"If the heart reacts well, my baby should do OK when I give birth."
A client who expected to use the Lamaze technique throughout labor has an
emergency cesarean birth. Two days later the client is found crying and tells the
nurse that she is extremely disappointed because a cesarean birth was
necessary. She asks the nurse why this happened to her. The nurse answers
based upon which physiologic response?
An emergency cesarean birth is traumatic psychologically because of the loss of the
expected birth experience
Which statement made by a pregnant client to a nurse indicates that the client
does not understand the teaching regarding fetal growth and development?
"The baby gets food from the amniotic fluid."
While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies
an increase of 15 beats more than the baseline rate of 135 beats per minute that
lasts 15 seconds. How should the nurse document this event?
An acceleration
A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic for the
first time. After the physical examination she tells the nurse, "I can't believe how
, big I am. Will I get much bigger?" What information about adolescent growth and
development does the nurse need to understand before responding?
Body image is very important to adolescents; therefore pregnant teenagers are overly
concerned about body size
The nurse instructs a pregnant client regarding fetal growth and development.
Which statement indicates that the client requires further teaching?
"The fetus gets nutrients from the amniotic fluid."
[no nutrient from the amniotic fluid its just for protection]
The husband of a client who is in the transition phase of the first stage of labor
becomes very tense and anxious and asks a nurse, "Would it be best for me to
leave, since I don't seem to be doing my wife much good?" What is the
appropriate response by the nurse?"
"I know that this is hard for you. Let me try to help you coach her during this difficult
phase."
When palpating a client's fundus on the second postpartum day, the nurse
determines that it is above the umbilicus and displaced to the right. What does
the nurse conclude?
The bladder has become overdistended
When a client at 39 weeks' gestation arrives at the birthing suite she says, "I've
been having contractions for 3 hours, and I think my water broke." What will the
nurse's action be to confirm that the membranes have ruptured?
Test the leaking fluid with Nitrazine paper
[turns blue if amniotic fluid is present]
